MEMBERSHIP APPLICATION

I WANT TO JOIN VOSH/INTERNATIONAL'S EFFORT TO FACILITATE THE PROVISION OF VISION CARE WORLDWIDE TO PEOPLE WHO CAN NEITHER AFFORD NOR OBTAIN SUCH CARE BY BECOMING A MEMBER OF A LOCAL CHAPTER.
TO DETERMINE IF THERE IS A CHAPTER IN YOUR STATE VISIT REGIONAL CHAPTERS  AND REQUEST AN APPLICATION.

IF NO CHAPTER EXISTS IN YOUR STATE SEND THIS FORM AND DUES IN THE AMOUNT OF $30.00 TO VOSH/INTERNATIONAL
AND YOU WILL BE A MEMBER-AT-LARGE OF VOSH/INTERNATIONAL. IF YOU HAVE AN INTEREST IN STARTING A CHAPTER
CLICK

MEMBERSHIP ALSO INCLUDES SUBSCRIPTION TO OUR NEWSLETTER.

NAME____________________________________________________

ADDRESS___________________________________________________________________

OCCUPATION: ________________________________

HOME TELEPHONE: ___________________ OFFICE TELEPHONE: _____________________

I AM INTERESTED IN PARTICIPATING IN A VOSH MISSION (    ) (check box if interested)
 
VOSH/INTERNATIONAL IS A 501 ( C ) ( 3 ) TAX EXEMPT HUMANITARIAN ORGANIZATION.
DETERMINE IF  YOUR CHAPTER HAS THE SAME STATUS. MOST DO.

YOUR TAX DEDUCTIBLE DONATION WILL FURTHER HELP US IN OUR MISSION TO PROVIDE VISION CARE WORLDWIDE TO THOSE WHO CAN NEITHER AFFORD NOR OBTAIN SUCH CARE.

MY TAX DEDUCTIBLE DONATION IN THE AMOUNT OF $ __________ IS ENCLOSED

For your convenience, you may pay your dues and make donations by using your credit card and clicking on the button below.